HALLEY PARK M.D.
NPI 1962899179
Radiology - Pediatric Radiology in Miami, FL

Q: What is Halley Park's NPI number?

The NPI number for Halley Park is 1962899179. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Q: What is Halley Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Halley Park was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2015PECOS EnrolledAccepts Medicare Assignment

3100 SW 62ND AVE, MIAMI, FL 33155(858) 366-8482 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Halley Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALLEY PARK M.D. (NPI 1962899179) is an individual pediatric radiology provider in Miami, Florida, licensed in Florida (ME149291) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2015).

NPPES Registry Identity

NPI1962899179

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameHALLEY PARKCredential: M.D.

Location Address3100 SW 62ND AVEMiami, FL 33155-3009

Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009

Phone(858) 366-8482

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2015

Enumeration DateApril 26, 2015

Last NPPES UpdateMarch 19, 2021

NPPES CertifiedMarch 19, 2021

✔ NPI 1962899179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in FL · ME149291

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

3100 SW 62ND AVE, Miami, FL 33155

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Halley Park M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820556459

PECOS Enrollment IDI20260814000479

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Halley Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nicklaus Children's Pediatric Specialists, LLC

Same address

Pediatric Cardiology

3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
87 clinicians in this Medicare group

NPI 1003360959 (786) 624-5876

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICE NEIL PA-C

Physician Assistant (Medical)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 666-6511

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Pediatrics (Pediatric Cardiology)

3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155

Miami-Dade County (786) 624-5876

LUCILA SERVITJE AZCARRAGA MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. YELENA SLOBODSCOY IGNATOV BSC, MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

SIVANESAN SIVAGNANA GANESAN

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (786) 624-2855

HIMANSHU MEENA

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. TERESITA FOX M.D.

Pediatrics

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (561) 624-9188

MRS. ERIN HERNANDEZ CPNP

Nurse Practitioner (Pediatrics)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 662-8357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Halley Park's NPI number?

The NPI number for Halley Park is 1962899179. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Halley Park located?

Halley Park practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (858) 366-8482.

What is Halley Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Halley Park enrolled in Medicare?

Yes. Halley Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Halley Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halley Park reassigns Medicare benefits to Nicklaus Children's Pediatric Specialists, LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Halley Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Halley Park accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Halley Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Halley Park was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.